What Should Be Done if Dilatations with Adjuncts Fail

摘要: Conservative management is still preferable to esophageal replacement after failure of dilatation with adjuncts. There no consensus about the definition a refractory stricture or recurrent stricture. Before classifying as “refractory” it important assure that was properly treated. Endoscopic electrocautery incisional therapy (EIT) and stenting may be successful. Removable covered stents allowed its use in children expanded indications for usage include wide variety congenital acquired strictures. Contrary other where food passes within stent, customized dynamic stent between wall allowing long term improvement patency. The improve motility unlike widespread self-expandable plastic metallic stents. Stents are very effective treating post-dilatation perforations post-anastomotic leaks. Gagging, displacement, migration into stomach, perforation, air way compression, granulation tissue, GERD, aspiration pneumonia, arterioesophageal fistula possible complications